Individual
OMOWUNMI FAGBAMILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
34841 VETERANS PLAZA, WAYNE, MI 48184-1733
(734) 728-3446
Mailing address
34841 VETERANS PLAZA, WAYNE, MI 48184-1733
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704271136
MI
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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